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DA -7A NEBRASKA <br />DEPARTMENT OF PUBLIC WELFARE <br />Certificate of Award <br />Aid- to the Aged, Blind or Disabled <br />0.1d VIA HH No !k <br />Name......... ...F. -MM <br />!" <br />... * ... r .. �t*; � ......... : ............................................................. Age.. <br />Address......... ... 2.67 .............................. I ...................................... <br />............... <br />City .......... food F'Jlvor, Tieb2,,joka <br />.......................... SS No .......... 5oa . <br />...........•...&......... <br />County .......... . ................................................. Original Payment ........... Daie..Inl .......() ................. <br />Legal description of real estate owned by recipient: <br />Vov.tu 2.71 of To'.- 2.jj U)to 2s 3 4z 4.s FlIbel: 6s LaT.1ant- <br />11 ntl e.- <br />lel ;I n I . <br />Y'iroi';,d-it1.on to 'elood Mxer,, 11 <br />...................................................................................... ................. <br />................... ................................ <br />...... .... <br />Signature of Payee Stata7D!rector71 <br />.......... <br />5 <br />0 <br />State of NebraskpL ti <br />County of Hali <br />Entered on Numerical Index and filed <br />for record in Office of Register of <br />JUL ZG i 1 02 �H 66 Deeds on the 26t]j__da of <br />July ------ 66 <br />------ 19 ----- � at <br />aT Or 9 11AM <br />�A) oclock and _P? ------ minutes ---- 1- M <br />ALL ) <br />1, and record in Book --- of <br />KFE ArM JMV.VSKN­ �f , 118 <br />i <br />ot 044dV S p ge- <br />egiste IF Deeds <br />BY <br />Fee, $_. _qtqrge Deputy <br />U§L <br />